MEDICARE: ABBYRAHMY PARANTHAMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	4351044885	MI
2	207Q00000X	Family Medicine Physician	22744	NV

General Provider Information

NPI Number	:	1518529932
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABBYRAHMY PARANTHAMAN MD

Provider Business Mailing Address
First Line	:	2225 CIVIC CENTER DR
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-6338
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2225 CIVIC CENTER DR
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-6338
Country	:	US
Telephone Number	:	800-787-2568
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2019
Last Update Date	:	11/11/2022

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